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  • runnergirl
    Post count: 3

    Hi Dr. Corenman!
    I am a 41 year old runner about 4 months post L5 S1 Microdiscectomy- (surgery 8/15/19) –really successful surgery taking the disc extrusion off the nerve. I’ve had a great experience with PT and am back to almost all activities, including trail running 15-20 miles a week with only off/on nerve damage symptoms in my calf/toes that seem to be improving with massage and dry needling in my calf weekly.
    My question: I have had regular chiropractic adjustments over the past 8 years especially postpartum (2 children who are now 5 and 7) I have been told always, as a mother runner- “my hips are out”- I do all the core and side/glute work, but the almost weekly side posture adjustments have always made me feel “right” again and run faster and no issues.
    I have, of course, NOT had these adjustments since my disc herniated followed by the surgery. I am wondering your opinion on when after this surgery on 8/15/19 it would be safe to have the side “pretzel” adjustment again. And/or if you think that my weekly side adjustment of past years could have contributed to my herniated disc. I understand that there are lots of opinions around this and would like to know when you’d recommend patients to be adjusted again after surgery and/or if you would tell them to avoid it going forward.
    Thank you!

    Donald Corenman, MD, DC
    Post count: 8459

    Manipulation generally should not cause new annular tears but can cause already torn discs to occasionally herniate. Since we know you have a through and through tear of your L5-S1 disc, you need be somewhat cautious of side posture manipulation, at least in the first 6 months after surgery. The risk diminish after that time but don’t totally disappear.

    Dr. Corenman

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